EASTERN MICHIGAN UNIVERISTY HOT WORK CHECKLIST Date _________________________________ W.O. #__________________________________ Time Started __________________________ Time Finished____________________________ Building ______________________________________________________________________ Room # ______________________________ Floor___________________________________ Location on Floor _______________________________________________________________ Nature of Job __________________________________________________________________ ____ Welding ____Brazing ____Soldering ____ Heating ____Grinding ____ Cutting ____Jet Torch ____Other TYPE OF EQUIPMENT TO BE USED: ____ Electrical Arc ____ Grinding ____ Hot Iron ____ Open Flame Torch ____ Cutting ____ Other _________________________ REQUIRED PRECAUTIONS CHECKLIST ____ Sprinklers, fire hose, extinguishers are in service and are operational. ____ Hot work equipment is in good condition. ____ Appropriate PPE is worn. ____ Appropriate area shielding equipment is used. ____ DPS notified of work conducted 5pm-7am, weekdays and holidays. ____ Adequate ventilation available or provided. ____ Piping valved/blanked off. ____ Other precautions taken: _________________ _____________________________________ _____________________________________ _____________________________________ FIRE SAFETY PRECAUTIONS ____ Flammable liquids, dust, lint, oil, deposits removed. ____ Explosive atmosphere in area eliminated. ____ Floors clean/clear of combustibles. ____ Combustible floors wet down, covered with fire-resistant material. ____ Remove combustible material where possible. Otherwise protect with fire resistive tarpaulins or metal shields. ____ All floor and wall openings covered. ____ Construction is non-combustible and without combustible covering or insulation. ____ Combustibles on the other side of the walls moved away. ____ Enclosed equipment cleaned of all combustibles. ____ Containers purged of flammable liquids and vapors. ____ Fire Watch if necessary (name): _____________________________________ ____ Fire Watch will be provided during and after work for 30 minutes, including coffee or lunch breaks. ____ Fire Watch supplied and trained in the use of extinguishers, hose, alarms, phone emergency numbers. ____ Fire Watch may be required for adjoining areas, above and below floors or obstructions. I verify the above location has been examined. The precautions checked on the Required Precautions Checklist have been taken to prevent fire and permission is authorized for this work. 1. Checklist will be retained by worker(s) during job. 2. When job is completed, checklist will be returned to Worker’s Foreman or DPS. 3. Checklist is good for one shift only. Signed ____________________________ employee Completed Checklist Shall be Posted Outside Immediate Area EMUDPS-EHS-f033 Rev.: 1